Kumar R Mahesh, Varsha S, Dutta Subham, Vyas Yash Vipulkumar, Kolla Vishnupriya
Department of Oral and Maxillofacial Surgery, Sri Siddhartha Dental College and Hospital, Tumakuru, Karnataka, India.
Department of Oral and Maxillofacial Surgery, Mukha Maxillofacial Surgery and Dental Implantology Centre, Bhagalpur, Bihar, India.
Ann Maxillofac Surg. 2025 Jan-Jun;15(1):51-55. doi: 10.4103/ams.ams_132_24. Epub 2025 May 26.
This study was conducted to evaluate the pattern of maxillofacial fractures in Tumkur city over a decade and to compare the results with similar studies from India and the rest of the world.
Conducted over a decade, this study included patients requiring treatment of maxillofacial fractures in Tumkur city from October 2013 to November 2023.
Peak incidence was noted in the third to fifth decades of life with a mean age of 29.4 ± 2.3 years. Male: female ratio was 4.7:1. The aetiological factors for maxillofacial injuries were: falls (48.5%), road traffic accidents (RTA) (40.3%) and assaults (11.2%). Midface fractures accounted for 54.7% of cases, mandibular fractures for 34.5% and fractures of cranial tables in 10.8%. Open reduction with internal fixation was the most pre-dominant choice of treatment with a conservative mode of treatment in <6% of cases. The mean duration of hospitalisation was 5.3 days.
he territorial region of Tumkur and its associated culture have shown a unique result of falls (self, coconut) being the major reason for maxillofacial fractures in the Tumkur district. RTAs still remain one of the main causes of maxillofacial fractures in developing countries such as India. Open reduction internal fixation remains the first choice of treatment in facial fractures due to early return of function with minimal morbidity and better nutritional status in patients compared to closed reduction.
本研究旨在评估图姆库尔市十年来颌面部骨折的模式，并将结果与印度及世界其他地区的类似研究进行比较。
本研究历时十年，纳入了2013年10月至2023年11月期间在图姆库尔市需要治疗颌面部骨折的患者。
发病高峰出现在30至50岁年龄段，平均年龄为29.4±2.3岁。男女比例为4.7:1。颌面部损伤的病因包括：跌倒（48.5%）、道路交通事故（40.3%）和袭击（11.2%）。面中部骨折占病例的54.7%，下颌骨骨折占34.5%，颅骨骨折占10.8%。切开复位内固定是最主要的治疗选择，不到6%的病例采用保守治疗方式。平均住院时间为5.3天。
图姆库尔地区及其相关文化显示出一个独特的结果，即跌倒（自身、椰子）是图姆库尔地区颌面部骨折的主要原因。在印度等发展中国家，道路交通事故仍然是颌面部骨折的主要原因之一。与闭合复位相比，切开复位内固定由于功能恢复早、患者发病率低且营养状况更好，仍然是面部骨折的首选治疗方法。
